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General NPI Number Information
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NPI Number | 1417177825
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Entity Type | Individual
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Provider Name | MICHAEL D PARKER C.R.N.A.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 720 HOSPITAL DR
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City | ANDREWS
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State | TX
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Zip | 79714
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Country | US
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Telephone | 432-523-2200
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Fax | 432-464-2180
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Provider Business Mailing Address
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Address Line | 720 HOSPITAL DR
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City | ANDREWS
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State | TX
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Zip | 79714-3617
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Country | US
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Telephone | 432-464-2200
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Fax | 432-464-2180
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 654616
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License Number State | TX
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